Applicants please note: Reynolds Memorial Hospital, Inc. is an Equal Opportunity Employer and does not discriminate on the basis of race, color, religion, sex, national origin, ancestry or disability. The Age Discrimination Act of 1967 prohibits discrimination on the basis of age. None of the information requested below will be used for any unlawful purpose.

Statement of Applicant

I certify that the answers and information given herein are true, correct, and complete to the best of my knowledge, information and belief.

I hereby authorize investigation of all statements contained in my application for employment by Reynolds Memorial Hospital or its agents or employees as may be necessary in arriving at an employment decision by Reynolds Memorial Hospital.

This application for employment shall be considered active for a period of time not to exceed six (6) calendar months. If I wish to be considered for employment beyond this time period, I shall complete a new application for employment.

I hereby understand and agree that if I am employed, any employment relationship of myself and Reynolds Memorial Hospital is one of “Employment-at-Will” where either party may terminate the relationship for any reason, except as may be provided by the laws of this state or the United States. Any oral representations to the contrary are not binding.

In the event that I am employed, I understand and agree that false or misleading information that I have given in my application or interview(s) may result in my discharge. I understand that once an offer of employment is made, I agree to complete a Post-Offer, Pre-Employment Physical Examination, the passing of which, is a term and condition of my employment.

I also understand that, if I am employed, I am required to abide by all policies, practices, rules and regulations of Reynolds Memorial Hospital.

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Signature

The entry of my name and e-mail address below constitutes applying my signature to this application for electronic submission.